The Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, marked Celiac Disease Day with a dedicated awareness and education programme. Organised by the Division of Paediatric Gastroenterology and Hepatology, the event aimed to stress the importance of early diagnosis, strict dietary control, and holistic psychosocial support for children affected by the disease.
Addressing the gathering, Professor Sadhna Lal, Head of the Division, highlighted PGIMER’s longstanding leadership in managing celiac disease in India. “Since the 1980s, PGIMER has been at the forefront, having treated nearly 18,000 patients through our dedicated clinic—one of the largest centres globally,” she said.
Lal noted that celiac disease is particularly prevalent in north-western Indian states such as Punjab, Haryana, Himachal Pradesh, Uttarakhand, and Rajasthan. This is due to both genetic factors and high wheat consumption in these regions. Despite its prevalence, many cases go undiagnosed due to vague or non-specific symptoms. “Celiac disease is often called an iceberg disease—what we see is just a small part of a much larger problem,” she added.
She explained that while earlier cases typically presented with growth failure, the current trend shows that about 50% of children exhibit normal growth, complicating diagnosis. However, iron deficiency and anaemia remain common indicators.
Lal warned of the silent yet severe damage caused by continued gluten intake. “Gluten acts like a slow poison. Complete avoidance is essential to prevent long-term complications,” she cautioned. She shared a case of a young patient who suffered liver failure due to poor dietary compliance, underscoring the consequences of neglect
Stressing the role of family, Lal said, “Strict dietary compliance requires collective responsibility. Parental involvement is vital for sustained management.” She also emphasised that early diagnosis during childhood offers the best treatment outcomes.
The event featured interactive counselling sessions, gluten-free recipe demonstrations, and expert Q&A forums. Attendees received guidance on safe dietary practices and emotional coping strategies, reinforcing PGIMER’s commitment to raising awareness and improving outcomes for children living with celiac disease.